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General NPI Number Information
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NPI Number | 1336745942
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Entity Type | Individual
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Provider Name | CHRIS SIMMONS RN
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Gender | Male
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Dates
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Enumeration Date | 12/09/2020
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Last Update Date | 02/11/2021
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Provider Practice Location Address
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Address Line | 2142 N COVE BLVD
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City | TOLEDO
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State | OH
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Zip | 43606-3895
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Country | US
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Telephone | 419-291-4491
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Fax | 419-479-6905
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Provider Business Mailing Address
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Address Line | 333 N SUMMIT ST FL 7
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City | TOLEDO
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State | OH
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Zip | 43604-1531
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Country | US
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Telephone | 567-585-1964
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.44573
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN.CRNA.0020221
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License Number State | OH
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